Provider Demographics
NPI:1235547928
Name:BUTLER, GAY LYNN (APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:GAY
Middle Name:LYNN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 NAVAJO POINT PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-2932
Mailing Address - Country:US
Mailing Address - Phone:702-436-0974
Mailing Address - Fax:
Practice Address - Street 1:1641 E FLAMINGO RD
Practice Address - Street 2:SUITE 10
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5257
Practice Address - Country:US
Practice Address - Phone:702-734-4377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-26
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001871363LF0000X
NVRN57133163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse